Individual provider Active NPI

Julie Kay Allen, OT

  • Occupational Therapist
  • Lynnwood, WA
National Provider Identifier
1477657567
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1033576 Issued in OR
Practice address
20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709
Phone
(425) 672-9219
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Occupational Therapist 225X00000X 00003080 WA
Occupational Therapist 225X00000X 1033576 OR Primary

Addresses

Primary practice location

20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709

Mailing address

2846 SW Multnomah Blvd
Portland, OR 97219-3936
Phone (503) 481-0820

Other practice location 1

134 SE 5th Ave Ste C
Hillsboro, OR 97123-4095
Phone (503) 648-5269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000265 OR Practitioner - Occupational Therapist in Private Practice 5092797456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Community Therapy LLCGroup PAC ID 0547692618, 2 clinicians

Practice addresses (Care Compare)

1336 NW Flanders St
Portland, OR 97209-2645

4339 NE 115TH Ave
Portland, OR 97220-1409
Phone (503) 882-0988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1033576ORMDOccupational Therapist
00003080WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance & Low Vision Solutions, LLC Occupational Therapist CurrentSince Feb 1, 2011 Accepting new patients
Holistic Community Therapy LLC CurrentSince Jan 1, 2022 Accepting new patients
Inner Journey Healing Arts Center Past Accepting new patients
Progressive Rehabilitation Associates LLC PastSince Sep 3, 2024 Accepting new patients

Locations

1336 NW Flanders St
Portland, OR 97209
Phone (503) 882-0988

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1477657567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193936",
            "telephone_number": "503-481-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 44TH AVE W STE 270",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367709",
            "telephone_number": "425-672-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 SE 5th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234095",
            "country_code": "US",
            "telephone_number": "503-648-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00003080",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1033576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.